ATI LPN
Chapter 14 Infection Control Review Questions Questions
Question 1 of 5
When preparing a client for discharge following a myocardial infarction, what is the most important instruction for the nurse to provide?
Correct Answer: C
Rationale: Recognizing signs of a heart attack allows for early intervention, potentially preventing another cardiac event.
Question 2 of 5
A client with hypertension is prescribed beta-blockers. What is the most important instruction for the nurse to give?
Correct Answer: A
Rationale: Monitoring for bradycardia is crucial as beta-blockers can slow the heart rate, requiring dose adjustments.
Question 3 of 5
The wounded victim is unable to walk, has respiratory rate of 12 , capillary refill is 8 seconds, and is unresponsive. The wounded victim is assigned what tag color?
Correct Answer: B
Rationale: The red tag is assigned because the victim has a capillary refill greater than 2 seconds and is unresponsive, indicating a critical condition requiring immediate intervention per the START method.
Question 4 of 5
Which of the following nursing notations shows the greatest need for instruction regarding the need to document only objective client assessment data?
Correct Answer: B
Rationale: Do not write personal opinions. Document observable, measurable client-oriented data only. Recording that the client is depressed based on the observation of tears is not objective and so is not acceptable.
Question 5 of 5
What is the first step in responding to a client experiencing a seizure?
Correct Answer: B
Rationale: Clearing the area around the client ensures their safety by removing objects that could cause injury during the seizure.